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NPI Code Detail

MEDICARE: COLLIN MCCARTHY PA-C

MEDICARE: COLLIN MCCARTHY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA4262MA
2363A00000XPhysician AssistantPA4262MA

General Provider Information

NPI Number : 1962786103
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLIN MCCARTHY PA-C
Provider Business Mailing Address
First Line : 330 MOUNT AUBURN ST
Second Line : PARSONS 2
City : CAMBRIDGE
State : MA
Zip : 02138-5597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-5597
Country : US
Telephone Number : 617-492-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 02/03/2025

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Directions to “ COLLIN MCCARTHY PA-C” Practice Location

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